I Can See Health

  Chapter 64 Another way to get gratitude

  At noon, the department packed a lunch.

  Lu Chen went back to the bedroom after eating.

In the    system panel, there are currently a total of 26 gratitude points.

  Lu Chen decided to stabilize his hand for the time being, not to continue the lottery, and to digest the heart anatomy skill book obtained in the morning.

   Turn on the computer and collect books related to cardiac anatomy.

  The knowledge content of most of the books is relatively scattered. After searching for a long time, he found a relatively authoritative "Clinical Anatomy - Chest Part" and "Wilcox's Anatomy of Cardiac Surgery".

   Heart anatomy, not only for cardiac surgeons, but also for cardiologists.

  Before, Lu Chen only had a taste of cardiac anatomy and electrophysiology.

   These knowledges are too detailed and complicated, and few of them are involved in undergraduates, and even many senior doctors have little knowledge of these two fields.

   Relying on the super comprehension ability provided by the skill book, Lu Chen quickly learned the knowledge of cardiac anatomy, and formed a 3D three-dimensional map in his mind.

  From the morphological structure of normal heart chambers, heart valves, blood supply and heart conduction system; to various types of heart congenital malformations, defects and common variations and other pathological anatomy knowledge.

  Lu Chen brought all the knowledge in the book into his mind!

   However, when exploring more advanced cardiac anatomy knowledge, Lu Chen also felt a bit of a struggle.

   After all, this is just an elementary skill book.

   On weekends, Lu Chen stayed in his dormitory, reading books on electrophysiology and cardiac anatomy.

   He feels that his knowledge reserve is skyrocketing, but these are all book knowledge, and they can only be effective when used clinically.

  …

   It's a new week.

   Every Monday, Li Yao will lead all the people in the group to round the room.

   Everyone was trembling, and it was time for "interrogation" again.

as predicted.

   From the first patient, Li Yao has prepared countless questions, waiting for everyone to answer.

   Medical rounds are slow.

  Especially in this kind of big rounds, every patient will be reorganized from diagnosis, differential diagnosis, to auxiliary examination and treatment.

   After about two and a half hours, we finally finished checking the room.

Everyone in the    group breathed a sigh of relief, and finally no longer had to face the question of "one question and three unknowns".

come back to the office.

   Everyone began to revise the doctor's order and write the course record.

   "Lu Chen, you are going to start the night shift this week. You are familiar with the night shift process." Li Yao suddenly said, "Well, you will follow Guoguo first. After the school officially starts in September, the teaching and research office will arrange a formal night shift for you."

  Lu Chen was taken aback, "Okay."

   He thought he would have to wait a few more weeks, but he did not expect to start night shifts in the second week of his clinical practice.

"Junior Brother, I'm on the night shift tonight." Sun Guoguo smiled, then turned to look at Dong Hao, "The students in the night shift today seem to be Junior Brother Dong, so the three of us will go to night shift together. "

  The standard configuration for night shift is two people, one undergraduate and one rotating student.

  Lu Chen is now equivalent to the third person in the night shift. He follows Sun Guoguo and Dong Hao to study, do chores, and do physical work, so it is not a formal night shift.

   "Junior brother, this is the first night shift, don't be too nervous." Dong Hao patted Lu Chen's shoulder, "Follow me and Senior Sister Guoguo, and you will be playing soy sauce by the side."

"OK, all right."

  Lu Chen smiled, he wasn't nervous.

  Being able to see the patient's life value and distinguish the patient's priority, this is the ability that many doctors dream of!

  …

   Today, the beds in Li Yao's group are full, and there are no new patients.

  Lu Chen wrote the medical records in the office and handled the medical records of discharged patients.

"Lu Chen, teach me to read the electrocardiogram." Ke Yue walked up to Lu Chen with a copy of "Clear and White Electrocardiogram", "Senior Sister Guoguo is busy with her thesis, I don't quite understand something, I want to ask for advice. you."

   Ke Yue has been immersed in the electrocardiogram book these days. As long as she recalls what happened to Mr. Lin Cui that day, she feels ashamed.

   Don't look at Ke Yue's usual obedience, and his voice is not too loud.

   But the quieter the person, the stronger the self-esteem.

   Today, Ke Yue not only wanted to ask some ECG questions, but also wanted to show the results of her hard work these days.

  Lu Chen just finished writing the medical records of all the patients.

   "Okay, no problem."

   He still remembered that after he promised to teach Ke Yue to read an electrocardiogram last time, he also got a little thank you from her.

  Being a teacher is one of the ways to get gratitude points!

   But where to start?

  Lu Chen knew Ke Yue's ECG basics, but he didn't even know the atrial fibrillation ECG, so it could be said that he didn't even reach the entry level.

   However, fortunately, he has obtained the "Basics of ECG" skill book, and his understanding of the basic knowledge of ECG is already very deep.

   No matter from which aspect he lectures, he can do it with ease.

   "First of all, do you know the meanings of the P, QRS, and T waves of the electrocardiogram?"

   Ke Yue nodded like a chicken pecking rice.

   During this time, she went back to make up for the basic knowledge of electrocardiography.

   "Well, then take a look at this electrocardiogram first."

  Lu Chen took out four electrocardiograms from the medical record folder.

   This is the electrocardiogram of his most recent patient.

   Ke Yue frowned, carefully identifying it.

   "This is... room speed..."

   "Is ventricular tachycardia as regular as P waves?

  Ke Yue wondered, "Could it be...is it a P wave?"

  Lu Chen smiled: "Of course it is. Stupid, this is a VTS mission. Look at the second electrocardiogram."

   Ke Yue hesitated: "This should be... atrial fibrillation..."

   Ever since he didn't recognize the electrocardiogram of atrial fibrillation last time, after Ke Yue went back, he recited the characteristics of the electrocardiogram of atrial fibrillation thoroughly.

   "Should be?" Lu Chen raised his eyebrows.

   Ke Yue frowned and said, "Although the heart rate in this picture is uneven, there are no small F waves. Isn't there a small F wave in atrial fibrillation?"

   "Really not? Then look at lead V2, isn't that the f wave? Look at the third ECG."

   "Lu Chen, don't make fun of me, this electrocardiogram is... ok, it's a normal electrocardiogram!"

   "Look at the QRS complex in lead II. Can the QRS complex in normal person II be pointing downwards? II, III, and aVF are all rS type, which is left anterior fascicular block."

  Ke Yue:…

  Lu Chen smiled: "Look at this last ECG again."

  Ke Yue looked at it for a long time, and then said:

   "This should be a first-degree atrioventricular block, and the PR interval is prolonged."

   "Have you read the book carefully? The book specifically said that the PR interval of the elderly can be extended to 0.22 seconds. The upper right of this ECG indicates that the patient is 82 years old, so this is a normal ECG."

  Ke Yue:…

   She raised her head and glanced at Lu Chen, feeling that she was hit again.

   At this time, Lu Chen also received a prompt from the system.

   "Congratulations, +1 for the thank you from Ke Yue!"

   "Congratulations, +1 for the thank you from Dong Hao!"

   "Congratulations, +1 for the thank you from Yao Jie!"

   "Congratulations, +1 for receiving a thank you from He Qingdong!"

   Seeing the system prompt, Lu Chen was stunned.

  What's going on here?

   (end of this chapter)